Graduated: 1998
Offers telehealth
NPI: 1003175167
Practice Locations (3)
44648 15TH ST W
LANCASTER, CA 935342806
6614630501
809 S 6TH ST
Basin, WY 824109510
809 S 6TH ST
BASIN, WY 824109510
6614630501
Source: CMS National Downloadable File, September 2026.